The U.S. spends far more on healthcare than any other country. A major component of the Affordable Care Act (ACA) is to change the way hospitals are paid, moving from a fee-for-service model based on volume to an outcomes model based on value. The goal of this new value-based care model is to lower healthcare costs and improve quality and outcomes for patients. How is this change being implemented in Northeast Ohio hospitals? What does it mean for patients?